ANI Aspirus Network

Aspirus Network

Aspirus Network, Inc. (ANI) is a Clinically Integrated Network of leading primary and specialty care physicians, hospitals and allied health care professionals. Aspirus Network negotiates contracts on behalf of its members with employers and health plans. ANI works closely with Aspirus’s new health plan, Aspirus Arise to help deliver direct access to high-value, personalized health care that aims to improve your health and well-being through all of your health care needs.

ANI aligns all elements of the care continuum to advance quality and improvement efforts that produce better clinical outcomes, enhanced patient experiences and controlled costs. Provider members of Aspirus Network have the opportunity to help identify and drive quality improvement initiatives, serve as advocates for healthier communities, and provide ongoing feedback on the network’s strategic direction

We understand patients have a choice – select the best health care providers knowing the benefits are:

24/7 access to care

Collaboration on the best care

Continuous quality improvement for the best outcomes

Providers credentialed to the highest standards

Best patient experience

Looking for an Aspirus Network Provider?

Please visit the "Find a Provider" and "Find a Facility" tabs above to locate additional information for a specific provider.

About Us

Vision

Aspirus Network delivers compelling value to the marketplace by collaborating with our members to leverage our unique perspective to improve cost and quality for our communities.

History & Evolution

Founded as a physician hospital organization (PHO) in 1998, and formerly known as Preferred Health Services, ANI represented initially one hospital and approximately 200 physicians. In August of 2004, we changed our name to Aspirus Network, Inc., to leverage the Aspirus brand name and to strengthen our recognition throughout north central Wisconsin. In May of 2015, we transformed into a physician led Clinically Integrated Network (CIN) to align for “future state” value-based payor contracting and for population health management by focusing on the Triple Aim objectives. Today we represent over 500 physicians, 8 Hospitals, 9 Ambulatory Surgery Centers and many ancillary healthcare professionals. Aspirus Network is a wholly owned subsidiary of Aspirus, Inc.

Please click on the text below for more information about Aspirus Network's Governance Structure.

Board of Directors

Aspirus Network, Inc. (ANI) is governed by a Board of Directors that consists of 9 elected members. Aspirus Network has four governing committees that report up to the Board. The Board has regularly scheduled monthly meetings with the right to hold a special meeting at the discretion of the Chairman or Executive Director.

Board Members

Christopher Young, MD – Chair

Christopher Peterson, MD – Vice Chair

Sid Sczygelski – Secretary/Treasurer

Aaron Anderson, MD

Matthew Heywood

Christian Lee, MD

Michael McGrail, MD

Jeremy Russell, DO

Renee Smith, MD (Ex-Officio)

David Tange, MD

Physicians Leadership Council

The Physician Leadership Council is comprised of physician leaders collaborating to provide oversight for the Clinical Value program and support of quality or improvement efforts of Aspirus Network's Clinically Integrated Network (CIN). PLC has has regularly scheduled monthly meetings.

Members

Chad Radke, DO – Chair

Nathan Grabher, MD - Vice Chair

David Edmonson, DO

Ryan Gossett, MD

Maria Gulan

Michael McGrail, MD

Christopher Pogliano, MD

Ruth Risley-Gray, RN

Jeremy Russell, DO

Susan Schneider, MD

Brian Smith, MD

Renee Smith, MD (Ex-Officio)

Credentialing Committee

The Credentialing Committee has oversight of our credentialing policy and participation requirements for network membership. The Credentialing Committee evaluates provider applications, reapplications and supporting documentation regarding approvals, denials, terminations or other actions as it relates to payor credentialing. The Committee has regularly scheduled monthly meetings.

Members

Lori Peck – Chair

Jennifer Hinker - Vice Chair

Roger Dillon

Terry Lawrence

Sara Lusignan

Mike Murphy

Network Engagement Committee

The Network Engagement Committee is responsible for investigating and evaluating mechanisms for engaging provider members in participation of Aspirus Network's Clinically Integrated Network (CIN). The Committee has regularly scheduled monthly meetings.

Members

Cathy Rohling – Chair

Sherry Evenson – Vice Chair

Sue Brudenell

Maria Gulan

Debbie Hoffman

Jill Kinney-Horvat

Connie Koutouzos

Shane Melenbacker

John Monks

Bob Smith

Michelle Theiler

Find an Aspirus Network Provider

This search is a comprehensive directory of all providers in the Aspirus Network and is a useful tool for verifying that a provider's care is included in insurance plans that include the Aspirus Network. To verify your provider’s participation status in your health insurance plan, please refer to the information on the back of your health insurance identification card or check with your insurance carrier.

Find an Aspirus Network Facility

This search is a comprehensive directory of all facilities in the Aspirus Network that provide health care services and supplies. It is a useful tool for verifying that a facility's care, services or products are included in insurance plans that include the Aspirus Network. To verify participation status in your health insurance plan, please refer to the information on the back of your health insurance identification card or check with your insurance carrier.

Email address (note - domain name must be a company name. No gmail, yahoo, hotmail, etc. will be accepted)

Reason for requesting access

NOTE - If your request is approved, you will receive an email from "Centralpoint" with your login credentials.

Participating Payors & Plans

Aspirus Network contracts with most Payors in the region. These Payors include health maintenance organizations (HMOs), preferred provider organizations (PPOs), and network only or "broker" arrangements. We also contract directly with employers and community business coalitions.

Please note coverage limitations are dependent on individuals and/or employer group contracts. To verify participation status in your health insurance plan, please refer to the information on the back of your health insurance identification card or check with your insurance carrier.

Provider Membership Options

There are currently two membership options offered by Aspirus Network:

Clinically Integrated Network (CIN)
Participation with ALL Aspirus Network contracted Payors, including eligibility for participation in our Wisconsin Medicaid HMO plans if desired. There are general requirements that must be met in order to join our Clinically Integrated Network.

For access to MyAspirus, please go to their website or contact your physician's office directly or call 1-888-692-7740.

PLEASE NOTE: Aspirus Network is not affiliated with MyAspirus

Credentialing

Payor credentialing is the process of assessing and validating the qualifications of a licensed provider to provide patient care under the accepted terms of Aspirus Network Payor contracts. As a benefit to our members, Aspirus Network holds delegated credentialing agreements with all of our contracted Payors. This equates to a streamlined credentialing process and providers only having to fill out one credentialing application to participate.

Tools & Resources

Notice of Provider or Group Practice Changes - IMPORTANT

Aspirus Network must be notified of any changes to provider or group practice information that will affect patient claims. The Provider Change Form linked below should be completed within 10 days of your knowledge of any change. This form alerts Aspirus Network and gives us the information needed to update our records and online directory. Aspirus Network will also notify our contracted Payors of the change, which is important for claims processing and payment. You may be asked to provide a copy of a current W9 and sample claim.

Provider Change Form for Wisconsin providers. Please be sure to review the location roster on the Secure website to be sure you select the most appropriate location. If your location is not listed, a W-9, sample claim, and location NPI# will be needed to set up a new location. If you have questions, please work with your revenue cycle/billing departments to ensure proper set up and avoid claims denials.